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Registered Nurse (RN) Case Manager - Home Care (LHCSA)
Registered Nurse (RN) Case Manager - Home Care (LHCSA)Angels In Your Home LHCSA • Rochester, NY, US
Registered Nurse (RN) Case Manager - Home Care (LHCSA)

Registered Nurse (RN) Case Manager - Home Care (LHCSA)

Angels In Your Home LHCSA • Rochester, NY, US
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  • [job_card.full_time]
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Job Description

Job Description

Description : Position Summary

The RN Case Manager is responsible for completing initial and ongoing nursing assessments , supervising Home Health Aides / PCAs, developing and updating individualized care plans, and ensuring safe, high-quality care for clients receiving non-skilled home care services.

This position focuses on assessment, evaluation, education, and regulatory compliance — not hands-on skilled nursing procedures.

Essential Functions

Initial & Ongoing Assessments

  • Conduct initial in-home assessments for all new clients, including evaluation of :

Medical / functional history as it relates to the care plan

  • ADLs, cognition, safety, home environment
  • Risks, equipment needs, caregiver support, and overall ability to remain safely at home
  • Complete 90-day, 6-month, and annual reassessments per DOH and payer requirements.
  • Identify any changes in condition and coordinate follow-up with appropriate providers or care managers.
  • Determine the need for Home Health Aide / PCA services and the appropriate frequency / scope of tasks.

    • Care Planning & Oversight

  • Develop and maintain an individualized Plan of Care (POC) aligned with the patient's needs, goals, and authorized services.
  • Update care plans whenever the patient’s condition or needs change.
  • Educate patients and caregivers regarding safe home care practices, disease awareness, ADLs, emergency planning, and community resources.

    • Supervision of Home Health Aides / PCAs

  • Conduct supervisory visits in the patient’s home to evaluate :

    • Quality of aide performance

  • Compliance with the care plan
  • Patient satisfaction and safety
  • Provide coaching, teaching, and corrective guidance to PCAs / HHAs as needed.
  • Document all supervisory contacts in accordance with DOH requirements.

    • Coordination & Communication

  • Communicate with service coordinators, schedulers, MLTC care managers, physicians’ offices, and family members to ensure seamless care delivery.
  • Report significant changes in condition promptly to appropriate parties.
  • Participate in case reviews and quality improvement initiatives.

    • Documentation & Compliance

  • Complete accurate, timely electronic documentation in accordance with DOH, Medicaid, MLTC, and agency standards.
  • Maintain knowledge of New York State LHCSA regulations, infection control requirements, and payer guidelines.
  • Ensure all care delivery is compliant with the care plan, authorized tasks, and scope-of-practice restrictions for LHCSAs.

    • Requirements :

    Education Requirements

  • Associate Degree in Nursing (ASN) required
  • Bachelor of Science in Nursing (BSN) preferred

    • Qualifications & Requirements

  • Active New York State Registered Nurse (RN) license.
  • Experience in home care, community health, case management, or related setting preferred (LHCSA experience ideal).
  • Strong assessment, communication, and documentation skills.
  • Knowledge of LHCSA regulations , MLTC requirements, care plan development, and supervision standards.
  • Valid NYS driver's license and reliable transportation.
  • Ability to work independently, manage a field-based schedule, and maintain professionalism in varied home environments.

    • Work Environment

  • Field-based role; requires travel to client homes throughout Monroe and the surrounding Counties.
  • Must be able to perform activities including standing, sitting, walking, bending, and light lifting related to home visits and evaluations.

    • Equal Opportunity Employer

    We welcome applicants from diverse backgrounds and do not discriminate based on race, color, religion, sex, gender identity, disability, veteran status, or national origin.

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